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Having during the last few years enjoyed considerable opportunities for the study of Prostatic disease, I have aimed at embodying, in the following pages, the observations which a careful and laborious prosecution of it has led me to make. I should not have ventured to do so, had the results altogether coincided with those obtained by previous inquirers. The views here maintained of the Anatomy of the Healthy Prostate, but particularly of the organ in its most common deviation from the normal state, viz., when the subject of senile enlargement, differ materially from those which have been commonly held. The conclusions I have arrived at are based on extended anatomical researches, embracing an examination of not less than seventy original dissections, forming preparations now in my own possession, in addition to such observation of the contents of our metropolitan museums as I have been able to make. The data from which such conclusions were drawn have been appended, so far as it was possible to do so, that the scientific inquirer may form his own opinions respecting them. The points to which I desire especially to request his attention may be briefly stated as follows:

The assignment of the "third " or "middle lobe," as a separate anatomical portion of the Prostate, to the abnormal history of the organ ;-discussed in the first chapter.

The analogy between the enlargements and tumours of the Prostate and those of the Uterus ; - discussed in the second chapter (fifth of Second edition).

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An examination of the alleged causes of enlargement of the Prostate, resulting in new views of this subject ;-in the third chapter (seventh of Second edition).

The effects of enlarged Prostate in relation to the function of micturition; considered in the fifth chapter (ninth of Second edition).

The researches in relation to Malignant and Tubercular disease of the Prostate ;-in the ninth and tenth chapters (fourteenth and fifteenth of Second edition).

The consideration of “the bar at the neck of the bladder;"in chapter the twelfth (seventeenth of Second edition).

Besides these, I have treated at length the subject of Diagnosis and Treatment of enlargement, and of the various complications which arise in connection with it, perhaps, I may venture to say, more fully than any preceding author.

And lastly, I have devoted a long chapter to a consideration of that important, but not uncommon complication of enlarged Prostate, stone in the bladder; and especially of the best modes of successfully applying Lithotrity as a means for its removal. I venture to hope that in discussing thus fully the question of Treatment, whether in relation to the simple or the complicated forms of this common complaint, some hints will be found which may prove useful in the varied emergencies of practice. I shall feel abundantly rewarded should some of my professional brethren discover any such fruit as the result of my labours. .

Wimpole Street, Cavendish Square,

LONDON, Nov. 1857.


THE Council of the Royal College of Surgeons of England announced in 1859, as the subject for the Jacksonian prize, “ The Healthy and Morbid Anatomy of the Prostate Gland.”

In the spring of the present year, this prize was awarded to an Essay by myself. At the same time, the first edition of my previous work, " The Enlarged Prostate," had become exhausted; I thought it desirable, therefore, to incorporate, in a Second edition, the greater part of the Essay, and to present the whole under a more comprehensive title, viz., " The Diseases of the Prostate, their Pathology and Treatment.”

Considerable additions to the original volume have thus been made ;-first, to that part which relates to the general and minute anatomy of the prostate ;-secondly, to the various sections describing the morbid anatomy in every condition in which deviation from health has been observed, for which purpose more numerous data than any before obtained have been made available ;-thirdly, those portions which are devoted to the subject of Treatment, in its various departments, have been augmented; while much of the old matter has been re-arranged, and some re-written, with a view to render the work more complete and useful. Lastly, a number of new plates, illustrative of important points in pathology, have been added : for the pains bestowed in producing these and for the successful results attained, my best acknowledgments are due to the skill and admirable fidelity of the artist, Mr. Clérevaux.

Wimpole Street, Cavendish Square,

LONDON, Sept. 1861.


A THIRD Edition having been called for, I have added many hints relating to the treatment of prostatic disease in its various forms which increased experience has taught me. At the same time, by removing matter which was out of date, or which has appeared to me unnecessary, the bulk of the volume has not been increased. I trust that these changes may render the work more useful both to the practitioner and to the student of medicine.

35, Wimpole Street, Cavendish Square,

LONDON, Jan. 1, 1868.

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